Best Practice Case Studies-Ureter Rupture

Video Transcription

Video Summary

A 19-year-old male suspected of an intra-abdominal injury may have a ureteral rupture. In such cases, a CT abdomen and pelvis with contrast is preferred. Typically, imaging involves non-contrast, portal venous phase, and coronal delayed views. In a presented patient's case, a hypodense area around the right kidney suggests a urinoma or hematoma. Coronal delayed imaging reveals a hyperdense area at the ureter's expected location, indicating possible ureteral injury. A defect is noted at the ureter, suggesting contrast extravasation, with additional hyperdensity within the surrounding area, confirming potential injury.

Meta Tag

Concept CT Abdomen and Pelvis with Contrast

Concept Ureter injury

Concept Delayed Excretory Phase

Concept Ureteral Rupture

Concept Active Contrast Extravasation

Edition 2nd Edition

Related Case 2nd Edition, Case 02

Topic Abdomen

Keywords

2nd Edition, Case 02

2nd Edition

Abdomen

ureteral rupture

CT abdomen

contrast extravasation

urinoma

intra-abdominal injury

CT Abdomen and Pelvis with Contrast

Ureter injury

Delayed Excretory Phase

Active Contrast Extravasation